Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes.
Collaborates with and leverages Segment Specialist expertise to ensure on-point results and ensure training material updates as necessary.
Conduct research, identify impact on existing concepts, and document accordingly and support activities required to package concepts.
Performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record.
Trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function.
Demonstrates expertise to resolve Optum coding edits.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.
Responsible for conducting medical records and coding related reviews to validate the integrity of coded procedures.
Works closely with clinical departments and Revenue Cycle Services to ensure compliance with coding guidelines, government, payer and internal charge capture policies.
Provides education and training to clinical providers and staff within the practices on proper documentation and coding guidelines, practices and procedures.
They are committed to diversity and inclusion, welcoming all as valued members. They focus on providing the highest level of care by taking care of their incredible teams.
Performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 classification systems.
Completes appeals processing tasks for both the inpatient and outpatient Data Quality Appeal Teams.
Reviews and abstracts information from auditor denials to communication sheets.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for their patients and each other.
Accurately codes inpatient conditions and procedures using ICD guidelines.
Reviews medical record documentation and assigns ICD CM and PCS codes.
Collaborates with Clinical Documentation Improvement Specialists to address documentation concerns.
Marshfield Clinic Health System is dedicated to enriching lives through accessible and compassionate healthcare. They prioritize the needs of patients and customers and value innovation and teamwork.
Accurately assign ICD-10-CM, CPT, and HCPCS codes for Behavioral Health and SUD services.
Review clinical documentation to ensure coding accuracy and compliance.
Stay current with coding updates, payer policies, and regulatory changes.
Steadfast Health is dedicated to setting a new standard of care for substance use disorder (SUD) treatment. They are rapidly growing and building a dedicated team of professionals, focused on low-barrier, high-quality care accessible to all.
Perform code abstraction of medical records, diagnostic imaging, etc.
Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.
Assist by making recommendations for process improvements to further enhance coding goals and outcomes.
Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Their mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death.
Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes.
Performs activities related to physician practice management and coding.
Provides training and education on coding and compliance issues to physicians, non-physician providers and staff.
Ohio State University Physicians is dedicated to providing exceptional patient care while fostering a collaborative work environment. The buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders.
Collaborates with clinical documentation team to review inpatient accounts.
Assesses DRG, PDx, secondary Dx, PCS, POA and all documentation components impacting quality metrics.
Continually assures coding practices remain compliant with coding guidelines and regulations.
Northwestern Medicine strives for a positive workplace for every patient interaction. They are a leader in the healthcare industry, offering competitive benefits such as tuition reimbursement, loan forgiveness, and 401(k) matching.
Translates patients’ medical records into standardized codes for diagnoses and treatments.
Ensures compliance with legal, regulatory, and organizational standards.
Manages records to ensures claims are processed correctly and on time.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. They are an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada.
Flexible, detail-oriented, and able to work independently.
Quality conscious and able to adapt well to change.
Maintain coding quality of 95% or greater.
UASI is recognized as a Top Workplace that values enduring partnerships with clients. They offer HIM professionals fulfilling roles with flexibility, stability and long-term success.
Responsible for decision-making and coding reviews.
Facilitate, obtain, validate, and reconcile appropriate provider documentation.
Ensure accurate reflection of illness severity and patient care complexity.
Millennium Physician Group (MPG), formed in 2008, is the largest independent physician group in Florida and one of the largest in the United States. They provide employees with the tools to succeed, a team atmosphere, and opportunities for growth.
Assigns appropriate billing codes to patient accounts.
Provides feedback to Coders on coding discrepancies.
Performs special projects and other duties as assigned.
Ventra is a leading business solutions provider for facility-based physicians. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions.
Develop, implement, and monitor systems that ensure compliance with Medicare and other payor documentation guidelines.
Analyze physician practices to identify charge opportunities and ensure all billable services are captured.
Perform regular audits to ensure compliance with coding and documentation guidelines and provide feedback to physicians.
Legacy Health is committed to fostering an inclusive environment where everyone can grow and succeed. They are an equal opportunity employer that prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants.
Develop, maintain, and execute complex inpatient coding audit processes.
Design and deliver clinical coding education and training programs.
Partner with staff to resolve audit findings and improve coding accuracy.
CRD Careers is a boutique recruitment agency specializing in Sales and HR placements. We connect growth-minded companies with high-impact professionals who drive real results. This company's approach is precise, people-first, and built for long-term success.
Code for Multispecialty Surgery physicians primarily Single Path Coding.
Extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type.
Accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting.
Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. The firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.
Review and analyze CDM data to ensure accuracy and compliance.
Conduct regular audits to identify discrepancies and areas for improvement.
Work with clinical, billing, and coding teams to resolve charge capture issues.
LCMC Health is a community-focused healthcare provider deeply rooted in New Orleans, Louisiana. They are committed to providing exceptional care and education, with a culture that celebrates authenticity, equity, and inclusion.
Sustains responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits.
Develops and implements policies and procedures to achieve organizational goals and assists in the development of operational strategy.
Monitors employee training, productivity, quality, and overall employee performance of all Outpatient Medical Record Coding Specialists.
The Ohio State University is a top-20 public university and its Ohio State Wexner Medical Center is one of America’s leading academic health centers. They set the stage for academic achievement and innovation, where friendships are forged and tradition is brought to life.
Manage prior authorizations and related administrative paperwork.
Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems.
Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.
Wing is redefining the future of work for companies worldwide. They aim to be a one-stop shop for companies looking to build world-class teams and place their operations on autopilot.
Create a welcoming experience by authentically engaging every caller, every time.
Thoroughly and accurately answer questions about customers’ healthcare accounts.
Thoughtfully listen to callers’ needs and provide appropriate solutions.
Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They research the most effective cost containment strategies and are driving down the cost of plans with innovative solutions.